Organization Active NPI

Summit Integrative Dental (Bromley, D.D.S. and Broyles, D.D.S.), P.C.

  • General Practice Dentistry
  • Lee'S Summit, MO
National Provider Identifier
1972089118
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUMMIT INTEGRATIVE DENTAL (BROMLEY, D.D.S. AND BROYLES, D.D.S.), P.C.
Practice address
688 SE Bayberry Lane
Suite 101
Lee'S Summit, MO 64063
Phone
(816) 525-5257
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Bromley, DDS
Title
Dentist
Phone
(816) 525-5257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

688 SE Bayberry Lane
Suite 101
Lee'S Summit, MO 64063

Mailing address

688 SE Bayberry Lane
Suite 101
Lee'S Summit, MO 64063
Phone (816) 525-5257

Other names 1

  • Summit Integrative Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1972089118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 SE BAYBERRY LANE",
            "address_2": "SUITE 101",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64063",
            "telephone_number": "816-525-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 SE BAYBERRY LANE",
            "address_2": "SUITE 101",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64063",
            "telephone_number": "816-525-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT INTEGRATIVE DENTAL (BROMLEY, D.D.S. AND BROYLES, D.D.S.), P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "BROMLEY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-525-5257",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Integrative Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lee'S Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.